Taschieri A M, Rovati M P, Elli M, Pisacreta M, Danelli P G, Lesma A, Cristaldi M, Tommaso V, Kurihara H
Istituto di Scienze Biomediche, Università degli Studi di Milano.
Ann Ital Chir. 1995 Nov-Dec;66(6):839-47; discussion 848-9.
In spite of the decreasing incidence of gastric carcinoma, as it is reported in recent reports from the U.S.A., total gastrectomy and its surgical indications results and complications, focus the interest of surgeons. We analize 61 cases of total gastrectomy for carcinoma, treated in the years 1982-1992. Perioperative mortality and long term survival appear highly satisfactory, mainly if one considers that the site and extension of the neoplasms treated would have severely impaired the possibilities of cure or long term survival with surgery of lesser momentum. We believe that nowaday indications for total gastrectomy can be widened in the hope of improving results of gastric cancer surgery with no or little additional risk.
尽管如美国近期报告中所指出的，胃癌发病率在下降，但全胃切除术及其手术适应症、结果和并发症仍引起了外科医生的关注。我们分析了1982年至1992年间接受治疗的61例因癌症行全胃切除术的病例。围手术期死亡率和长期生存率看起来非常令人满意，尤其是考虑到所治疗肿瘤的部位和范围，若采用创伤较小的手术，治愈或长期生存的可能性会受到严重影响。我们认为，如今全胃切除术的适应症可以扩大，以期在不增加或仅增加极少额外风险的情况下提高胃癌手术的效果。
